Healthcare

This bill requires Maryland hospitals to screen patients in emergency departments for pregnancy-related medical emergencies. If a patient has such a condition, hospitals must stabilize it through appropriate treatment - including pregnancy termination when medically necessary - before transferring them, and cannot transfer unstable patients without following federal emergency transfer rules. It prohibits hospitals from retaliating against staff who refuse transfers of unstable patients or report violations, and imposes civil penalties (up to $50,000) for noncompliance. The law applies to all Maryland hospitals and aims to ensure timely, stable care for pregnant patients in medical crises.

HB 279 establishes a medication review committee within Maryland's Department of Public Safety to evaluate requests for involuntary psychotropic medication when an incarcerated individual refuses it, applying only to licensed mental health infirmaries in state correctional facilities. The bill prohibits administering such medication without committee approval, except in emergencies, and requires the committee to review medical records, consider less restrictive alternatives, and ensure the individual understands risks and benefits before a decision. Incarcerated individuals gain specific rights under the bill, including 10 business days' written notice of committee meetings, the right to attend (excluding closed deliberations), present information, and receive details about their diagnosis and treatment options. The committee, composed of appointed mental health professionals and a lay advisor, must document its rationale and follow defined procedures before authorizing medication against an individual's refusal.

SB 439 prohibits Maryland fire and rescue public safety employers from taking negative employment actions (like firing or denying promotions) against employees who use medical cannabis, provided the employee has a valid medical cannabis certification under state law. It amends existing Maryland law to explicitly add this protection for public safety workers, aligning with current medical cannabis certification requirements. The bill does not change how medical cannabis is certified but ensures these employees cannot face discrimination solely for using cannabis legally under the state program. This applies to all fire and rescue employees who meet the state's medical cannabis eligibility criteria.

HB 494 requires health insurance companies, nonprofit health service plans, and health maintenance organizations (HMOs) operating in Maryland to structure their reimbursements to primary care providers in a way that meets annual investment targets set by the state. Starting February 1, 2026, these entities must report their progress toward meeting these targets when filing new or updated premium rates with the Maryland Insurance Commissioner. The bill amends insurance code sections to mandate this reporting requirement as part of premium rate filings. It takes effect October 1, 2026, focusing on transparency and accountability for primary care funding.

SB 340 requires the Governor to allocate at least 3% of funds collected from nursing facilities' Medicaid quality assessments toward the Office of the Long-Term Care Ombudsman's operations in the state budget. It directly affects nursing facilities with 45 or more beds operating in Maryland, which must pay the quality assessment. The bill mandates that these funds - collected quarterly based on non-Medicare patient days - must be used solely for the Ombudsman office, with no reduction to existing funding for this purpose. This creates a dedicated, ongoing funding source to support the Ombudsman's role in investigating resident complaints and advocating for long-term care rights.

SB 449 extends workers' compensation benefits to Carroll County correctional deputies who develop heart disease or hypertension. It creates a legal presumption that these conditions are work-related (and thus compensable) if they result in partial disability or death, provided the condition is more severe than any pre-existing condition and the deputy had a medical exam before employment. The bill amends Maryland law to explicitly include "Carroll County Correctional Deputy" in the definition of "public safety employee" for these benefits. This change applies specifically to Carroll County deputies and requires meeting the severity and medical exam conditions to qualify.